holder preferably in the field of Nursing, Healthcare or Allied Medical Profession Credential/Professional Certification... management SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: Proficient knowledge on US Healthcare Practice, HIPAA / HEDIS...
USTknowledge and experience relative to patient care and healthcare delivery processes Medicare Advantage experience preferred...) standards Prepare recommendations to either uphold or deny appeal and work with the Medical Director for further review...
UST